| Children's Dentistry | |
|
4080 Lafayette Center Dr Ste 160b Chantilly VA 20151-1247 | |
| (703) 230-1000 | |
| (703) 230-0509 |
| Full Name | Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4080 Lafayette Center Dr Ste 160b, Chantilly, Virginia |
| Authorized Official Name and Position | Mala a Britto (OWNER) |
| Authorized Official Contact | 7032301000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry 4080 Lafayette Center Dr Ste 160b Chantilly VA 20151-1247 Ph: (703) 230-1000 | Children's Dentistry 4080 Lafayette Center Dr Ste 160b Chantilly VA 20151-1247 Ph: (703) 230-1000 |
| NPI Number | 1831360536 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 10/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831360536 | NPI | - | NPPES |
| 9180684 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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